Patient-Engagement Health Information Technology and Quality Process Outcomes in Federally Qualified Health Centers.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES Quality Management in Health Care Pub Date : 2024-07-18 DOI:10.1097/QMH.0000000000000428

Seongwon Choi, Thomas Powers

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Abstract

Background and objectives: Health information technology (HIT) for patient-engagement can positively influence the quality and efficiency of health care delivery. Although this topic is of significant importance, it has not been fully addressed in the federally qualified health center (FQHC) context. This research investigates the relationship between the level of patient-engagement HIT and FQHC preventive health care quality outcomes.

Method: Based on the Uniform Data System (UDS), this study employed multivariable regression analysis to investigate the association between the level of patient-engagement HIT and FQHC preventive health care quality outcomes. FQHCs were placed in 4 mutually exclusive groups based on the level of FQHC use of patient-engagement HIT.

Results: The results indicate that compared with the most comprehensive patient-engagement HIT at FQHCs, less comprehensive patient-engagement HIT was associated with lower rates of preventive care provision.

Conclusions: Comprehensive patient-engagement HIT across FQHCs may improve preventive health care quality outcomes. The results support policy incentives for FQHCs with less comprehensive levels of patient-engagement HIT to foster improved preventive care for their patients.

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联邦合格医疗中心的患者参与医疗信息技术和质量流程成果。

背景和目标：促进患者参与的医疗信息技术（HIT）可对医疗服务的质量和效率产生积极影响。尽管这一课题非常重要，但在联邦合格医疗中心（FQHC）中尚未得到充分研究。本研究调查了患者参与 HIT 的水平与 FQHC 预防性医疗质量结果之间的关系：本研究以统一数据系统（UDS）为基础，采用多变量回归分析法调查患者参与的 HIT 水平与 FQHC 预防性医疗质量结果之间的关系。根据 FQHC 使用患者参与型 HIT 的水平，将其分为 4 个相互排斥的组别：结果表明，与最全面的患者参与型 HIT 相比，患者参与型 HIT 较不全面的 FQHC 的预防性医疗服务提供率较低：结论：在联邦定点医疗保健机构中开展全面的患者参与式 HIT 可能会提高预防性医疗保健的质量成果。研究结果支持对患者参与程度较低的联邦定点医疗机构采取政策激励措施，以促进其改善对患者的预防保健服务。

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来源期刊

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.